# data[].attributes.headline
You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

# data[].attributes.subject
You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

# data[].attributes.headline
You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

# data[].attributes.subject
You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

# data[].attributes.headline
You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

# data[].attributes.subject
You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

# data[].attributes.body
lack of altruism

# data[].attributes.body
1. Altruism

Prioritise patient care above self-wants to party

2. Working in patnership

Should assume responsibility over own duty. Can't leave everything to colleagues.

# data[].attributes.body
1. Reflect on own actions

2. Take responsibility & stop partying.

3. Apologise to affected colleagues & patients + make changes for the better

# data[].attributes.body
i prefer not to go to the party

# data[].attributes.body
not go to the party, communicate with my colleagues, take responsibility for my poor performance

# data[].attributes.body
1. Resolve conflict & misunderstandings.

2. Assume own professional duty as a proud HCP

3

# data[].attributes.body
- Delaying the patient care
- Lack of responsibility

# data[].attributes.body
Set the right priorities

# data[].attributes.body
working in partnership

# data[].attributes.body
1. Working in partnership & working together.

2. Cultural sensitivity

3. Communication

# data[].attributes.body
4. Lack of Altruism - didn't think about others and give them a hand while they are in need.

# data[].attributes.body
I would choose to not leave early and instead stay to help my colleague.

# data[].attributes.body
Improved performance of the colleague

# data[].attributes.body
Putting the patient's interest at first, no matter if I leave late.

# data[].attributes.body
1. Help out the colleague & build communications with the colleague.

2. Communicate & determine the reason for delay in colleague. If wanted, provide advice.

3. Invite the colleague out for dinner for example.

# data[].attributes.body
patient centered service, I would help in order to prevent any patient care delay

# data[].attributes.body
1. Building open & proper communications.

2. Building a feeling of openness & trust between healthcare providers.

3. Uniform goal of providing optimum patient centered healthcare while promoting teamwork.

# data[].attributes.body
- Trying to speak with the fellow to understand the situation, before taking an action.
- Encouraging the fellow to reflect his actions to enhance his poor practice performance

# data[].attributes.body
Try to understand the actual reason of the colleague's  poor performance and tackle the root cause

# data[].attributes.body
i would help them with the tasks while they tend to the patient to avoid delay in patient care.
however if this happens repeatedly, give advice to them eg. time management etc

# data[].attributes.body
1. Patient centered care
2. Advocacy for patient rights to receive appropriate healthcare.
3. Maintain integrity by voicing out concerns

# data[].attributes.body
Evidence based practice

# data[].attributes.body
1. Voice out my concerns to HR. Prompt them to carry out QI investigations.

2. If ignored, carry out QI steps. Start with obtaining inputs from colleagues & initiating the PDSA cycle.

# data[].attributes.body
bring up this issue to the quality improvement team and work together to resolve this

# data[].attributes.body
Reflective practice and continuous improvement- can raise concerns with the appropriate person

# data[].attributes.body
I should report to the appropriate authority immediately

# data[].attributes.body
1. Concerns be heard & addressed.

2. Optimal & safe care for all patients.

3. Actions regarded positively to promote a culture of openness & acceptability relative to respect.

# data[].attributes.body
micro - disrupted work-life balance
meso - causing harm to the patients, creating bad reputation for the hospital
macro - raising public inquiry

# data[].attributes.body
micro - maintain professionalism
meso - keep a close eye on worker within the healthcare setting
macro - One bad apple may spoil the bunch